Prior authorization requirement changes for certain therapy services, effective January 1, 2022
Posted by [email protected] on Dec. 22, 2021 / Subscribe 0
Prior authorization requirement changes for certain therapy services, effective January 1, 2022
Beginning January 1, 2022, changes to the UnitedHealthcare Community
Plan of Nebraska Medicaid current physical, occupational and speech
therapy notification/prior authorization process will be implemented.
Key Points
- This change affects UnitedHealthcare Community Plan of Nebraska members
- These requirements will apply whether a member is new to therapy or will continue receiving therapy
- We’ll deny claims if prior authorization is not on file before the date of service, and you won’t be able to balance bill the member
- Prior authorization isn’t required for emergency or urgent services
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